Food insufficiency, adverse childhood experiences and mental health: results of the Singapore Mental Health Study 2016

This study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood experiences (ACE) in Singapore. This analysis utilised data from the Singapore Mental Health Study (SMHS 2016). SMHS 2016 was a population-based, psychi...

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Published inPublic health nutrition Vol. 26; no. 5; pp. 1044 - 1051
Main Authors Subramaniam, Mythily, Koh, Yen Sin, Vaingankar, Janhavi Ajit, Abdin, Edimansyah, Shafie, Saleha, Chang, Sherilyn, Kwok, Kian Woon, Chow, Wai Leng, Chong, Siow Ann
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LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.05.2023
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Abstract This study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood experiences (ACE) in Singapore. This analysis utilised data from the Singapore Mental Health Study (SMHS 2016). SMHS 2016 was a population-based, psychiatric epidemiological study conducted among Singapore residents. Interviews were conducted with 6126 respondents. Respondents were included if they were aged 18 years and above, Singapore citizens or permanent residents and able to speak in English, Chinese or Malay. The prevalence of food insufficiency was 2·0 % (95 % CI (1·6, 2·5)) among adult Singapore residents. Relative to respondents who did not endorse any ACE, those with ACE (OR: 2·9, 95 % CI (1·2, 6·6)) had higher odds of food insufficiency. In addition, there were significant associations between lifetime mental disorders and food insufficiency. Bipolar disorder (OR: 2·7, 95 % CI (1·2, 6·0)), generalised anxiety disorder (OR: 4·5, 95 % CI (1·5, 13·5)) and suicidal behaviour (OR: 2·37, 95 % CI (1·04, 5·41)) were shown to be significantly associated with higher odds of food insufficiency. The prevalence of food insufficiency is low in Singapore. However, this study identifies a vulnerable group of food-insufficient adults that is significantly associated with mental disorders, including suicidality. Government-funded food assistance programmes and multi-agency efforts to deal with the social determinants of food insufficiency, such as income sufficiency and early detection and intervention of mental distress, are key to ensuring a sustainable and equitable food system.
AbstractList This study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood experiences (ACE) in Singapore. This analysis utilised data from the Singapore Mental Health Study (SMHS 2016). SMHS 2016 was a population-based, psychiatric epidemiological study conducted among Singapore residents. Interviews were conducted with 6126 respondents. Respondents were included if they were aged 18 years and above, Singapore citizens or permanent residents and able to speak in English, Chinese or Malay. The prevalence of food insufficiency was 2·0 % (95 % CI (1·6, 2·5)) among adult Singapore residents. Relative to respondents who did not endorse any ACE, those with ACE (OR: 2·9, 95 % CI (1·2, 6·6)) had higher odds of food insufficiency. In addition, there were significant associations between lifetime mental disorders and food insufficiency. Bipolar disorder (OR: 2·7, 95 % CI (1·2, 6·0)), generalised anxiety disorder (OR: 4·5, 95 % CI (1·5, 13·5)) and suicidal behaviour (OR: 2·37, 95 % CI (1·04, 5·41)) were shown to be significantly associated with higher odds of food insufficiency. The prevalence of food insufficiency is low in Singapore. However, this study identifies a vulnerable group of food-insufficient adults that is significantly associated with mental disorders, including suicidality. Government-funded food assistance programmes and multi-agency efforts to deal with the social determinants of food insufficiency, such as income sufficiency and early detection and intervention of mental distress, are key to ensuring a sustainable and equitable food system.
OBJECTIVEThis study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood experiences (ACE) in Singapore. DESIGNThis analysis utilised data from the Singapore Mental Health Study (SMHS 2016). SETTINGSMHS 2016 was a population-based, psychiatric epidemiological study conducted among Singapore residents. PARTICIPANTSInterviews were conducted with 6126 respondents. Respondents were included if they were aged 18 years and above, Singapore citizens or permanent residents and able to speak in English, Chinese or Malay. RESULTSThe prevalence of food insufficiency was 2·0 % (95 % CI (1·6, 2·5)) among adult Singapore residents. Relative to respondents who did not endorse any ACE, those with ACE (OR: 2·9, 95 % CI (1·2, 6·6)) had higher odds of food insufficiency. In addition, there were significant associations between lifetime mental disorders and food insufficiency. Bipolar disorder (OR: 2·7, 95 % CI (1·2, 6·0)), generalised anxiety disorder (OR: 4·5, 95 % CI (1·5, 13·5)) and suicidal behaviour (OR: 2·37, 95 % CI (1·04, 5·41)) were shown to be significantly associated with higher odds of food insufficiency. CONCLUSIONSThe prevalence of food insufficiency is low in Singapore. However, this study identifies a vulnerable group of food-insufficient adults that is significantly associated with mental disorders, including suicidality. Government-funded food assistance programmes and multi-agency efforts to deal with the social determinants of food insufficiency, such as income sufficiency and early detection and intervention of mental distress, are key to ensuring a sustainable and equitable food system.
Abstract Objective: This study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood experiences (ACE) in Singapore. Design: This analysis utilised data from the Singapore Mental Health Study (SMHS 2016). Setting: SMHS 2016 was a population-based, psychiatric epidemiological study conducted among Singapore residents. Participants: Interviews were conducted with 6126 respondents. Respondents were included if they were aged 18 years and above, Singapore citizens or permanent residents and able to speak in English, Chinese or Malay. Results: The prevalence of food insufficiency was 2·0 % (95 % CI (1·6, 2·5)) among adult Singapore residents. Relative to respondents who did not endorse any ACE, those with ACE (OR: 2·9, 95 % CI (1·2, 6·6)) had higher odds of food insufficiency. In addition, there were significant associations between lifetime mental disorders and food insufficiency. Bipolar disorder (OR: 2·7, 95 % CI (1·2, 6·0)), generalised anxiety disorder (OR: 4·5, 95 % CI (1·5, 13·5)) and suicidal behaviour (OR: 2·37, 95 % CI (1·04, 5·41)) were shown to be significantly associated with higher odds of food insufficiency. Conclusions: The prevalence of food insufficiency is low in Singapore. However, this study identifies a vulnerable group of food-insufficient adults that is significantly associated with mental disorders, including suicidality. Government-funded food assistance programmes and multi-agency efforts to deal with the social determinants of food insufficiency, such as income sufficiency and early detection and intervention of mental distress, are key to ensuring a sustainable and equitable food system.
Objective:This study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood experiences (ACE) in Singapore.Design:This analysis utilised data from the Singapore Mental Health Study (SMHS 2016).Setting:SMHS 2016 was a population-based, psychiatric epidemiological study conducted among Singapore residents.Participants:Interviews were conducted with 6126 respondents. Respondents were included if they were aged 18 years and above, Singapore citizens or permanent residents and able to speak in English, Chinese or Malay.Results:The prevalence of food insufficiency was 2·0 % (95 % CI (1·6, 2·5)) among adult Singapore residents. Relative to respondents who did not endorse any ACE, those with ACE (OR: 2·9, 95 % CI (1·2, 6·6)) had higher odds of food insufficiency. In addition, there were significant associations between lifetime mental disorders and food insufficiency. Bipolar disorder (OR: 2·7, 95 % CI (1·2, 6·0)), generalised anxiety disorder (OR: 4·5, 95 % CI (1·5, 13·5)) and suicidal behaviour (OR: 2·37, 95 % CI (1·04, 5·41)) were shown to be significantly associated with higher odds of food insufficiency.Conclusions:The prevalence of food insufficiency is low in Singapore. However, this study identifies a vulnerable group of food-insufficient adults that is significantly associated with mental disorders, including suicidality. Government-funded food assistance programmes and multi-agency efforts to deal with the social determinants of food insufficiency, such as income sufficiency and early detection and intervention of mental distress, are key to ensuring a sustainable and equitable food system.
Author Kwok, Kian Woon
Subramaniam, Mythily
Chow, Wai Leng
Chong, Siow Ann
Koh, Yen Sin
Vaingankar, Janhavi Ajit
Abdin, Edimansyah
Shafie, Saleha
Chang, Sherilyn
AuthorAffiliation 3 School of Social Sciences, Nanyang Technological University , Singapore
1 Research Division, Institute of Mental Health , Buangkok Green Medical Park, 10 Buangkok View, 539747 , Singapore
4 Epidemiology and Communicable Diseases Division, Ministry of Health , Singapore , Singapore
2 Saw Swee Hock School of Public Health, National University of Singapore , Singapore
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Keywords Population survey
Singapore
Mental disorders
Adverse childhood experiences
Food insufficiency
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Snippet This study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood experiences...
Objective:This study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood...
OBJECTIVEThis study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse childhood...
Abstract Objective: This study aimed to investigate the prevalence and correlates of food insufficiency and its association with mental disorders and adverse...
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pubmedcentral
proquest
crossref
pubmed
cambridge
SourceType Open Website
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StartPage 1044
SubjectTerms Adult
Adverse Childhood Experiences
Anxiety disorders
Asian People
Bipolar disorder
Childhood
Children
COVID-19
Epidemiology
Food
Food insufficiency
Humans
Longitudinal studies
Mental disorders
Mental Disorders - epidemiology
Mental Health
Nutritional Epidemiology
Population studies
Population survey
Prevalence
Research Paper
Singapore
Singapore - epidemiology
Sociodemographics
Suicides & suicide attempts
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Title Food insufficiency, adverse childhood experiences and mental health: results of the Singapore Mental Health Study 2016
URI https://www.cambridge.org/core/product/identifier/S1368980022002567/type/journal_article
https://www.ncbi.nlm.nih.gov/pubmed/36451283
https://www.proquest.com/docview/2813450178
https://search.proquest.com/docview/2744667724
https://pubmed.ncbi.nlm.nih.gov/PMC10346029
https://doaj.org/article/32918514b25347bd88f5f22d77f531fa
Volume 26
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